Information for requests concerning use (information to be provided for all intended uses): Use for which exemption is requested: __________________________________________________ Name if company(ies) / institution(s) authorized to use the substance: __________________________ __________________________________________________________________________________ Envisaged quantity (kg/year): __________________________________________________________ Country of origin: ___________________________________________________________________ Source and quality of substance or formulated product (e.g. percentage of POP, formulation type): ___________________________________________________________________________________ Importance of specific use to society, including consequences of not making use of the requested exemption: ___________________________________________________________________________________ ___________________________________________________________________________________ Information on use:___________________________________________________________________ (a) For pesticides: Target organism:____________________________________________________________________ Routine applications: YES: ________ NO: __________ Emergency applications: YES: _________ NO: _________ Application technique: _______________________________________________________________ Anticipated frequency: _______________________________________________________________ Application amount (e.g. kg a.i. per hectare): ______________________________________________
porcentaje de COP, tipo de formulación): ___________________________________________________________________________________ Importancia del uso específico para la sociedad, incluidas las consecuencias de no hacer uso de la exención solicitada: ___________________________________________________________________________________ ___________________________________________________________________________________ Información sobre uso: _________________________________________________________________ a) Para plaguicidas: Organismo al que se destina: ____________________________________________________________ Aplicaciones de rutina: SÍ: ________ NO: __________ Aplicaciones de emergencia: SÍ: _________ NO: _________ Técnica de aplicación: _________________________________________________________________ Frecuencia prevista: ___________________________________________________________________ Cantidad de aplicación (p.ej.